Rebirth 1977 Great Era

Chapter 900 Mission Objective: No fire allowed when cooking, no knife allowed when chopping vegetables (Bonus chapter for monthly votes)
We need to analyze Lao Yu's situation step by step.

Firstly, regarding stomach problems, Lao Yu's symptoms include bloating and acid reflux, which should be related to liver qi invading the stomach.

His long-term work stress and emotional tension can easily lead to liver stagnation. Liver stagnation can turn into fire, which can then attack the stomach, causing stomach qi to rise and resulting in symptoms such as excessive stomach acid and stomach pain.

In terms of hypertension, traditional Chinese medicine believes it is related to liver yang hyperactivity and liver and kidney yin deficiency.

Lao Yu's high blood pressure worsens under stress, which is related to liver yang hyperactivity and liver fire rising, leading to increased blood pressure.

Meanwhile, long-term liver stagnation leading to internal heat can deplete kidney yin, resulting in liver and kidney yin deficiency, which further aggravates hypertension.

In traditional Chinese medicine, hernia is classified as "fox hernia," and is mostly caused by stagnation of liver qi, cold congealing the liver meridian, or sinking of the middle qi.

Lao Yu's hernia flared up after exertion, which was due to qi deficiency and sinking. However, combined with other symptoms such as stomach problems and high blood pressure, there was also liver qi stagnation, which led to poor meridian circulation. In addition, the invasion of cold pathogens caused the hernia to form.

In addition, intestinal adhesions are a condition caused by qi stagnation and blood stasis.

In traditional Chinese medicine, duodenal ulcers are classified as "stomach pain," which is often related to spleen and stomach weakness, liver qi invading the stomach, and blood stasis.

In conclusion...

Lao Yu's condition was caused by long-term liver stagnation, which led to damage to his spleen and stomach function and the formation of ulcers.

The pulse and tongue appearance indicate that the liver yang is excessive and the liver and stomach are not in harmony.

High blood pressure is caused by long-term stress leading to stagnation of liver qi, which then transforms into fire and disturbs the upper body.

Stomach problems are caused by liver fire attacking the stomach, leading to excessive stomach acid and ulcers.

Hernia is related to the liver meridian, and stagnation of liver qi leads to groin symptoms.

The core issue here is that liver stagnation runs throughout the entire process, which leads to liver yang hyperactivity (hypertension), liver fire invading the stomach (ulcers), and liver meridian qi stagnation (hernia). This also aligns with the traditional Chinese medicine theory that "the liver is the thief of the five organs."

In this situation, rest and recuperation are actually the best methods. With a few months of treatment, the patient can fully recover.

But it's 1978 now, can they rest now?

Fang Yan asked Comrade Lao Yu:

Do you usually have time to rest?

Old Yu was taken aback, then said:

"Yes, I have time to rest after finishing a project."

Fang Yan asked again:
"When does it typically take to complete a project?"

"Um... that's a secret." Old Yu pushed up his glasses and smiled at Fang Yan.

Okay, this is something I really shouldn't say, lest I reveal important information.

Although people in the dialect know all the important points.

But we have to pretend we don't know now.

Fang Yan reviewed the medical record again and then asked:

"So, a long break is unlikely?"

Lao Yu nodded:
"If you want me to rest and recuperate, I really don't have the time."

Chairman Qian also said at this moment:
"Yes, Dr. Fang, their work is just like your role, indispensable. Please consider this and do your best to cure the patient without affecting their work."

Fang Yan looked at Chairman Qian and nodded.

"..." The other doctors standing behind Fang Yan were speechless.

This is equivalent to having to cook but not being allowed to use fire.

They had to chop vegetables, but they weren't allowed to use a knife.

It sounds absurd, but that's precisely why his condition is so difficult to treat.

Since his work environment hasn't changed, the treatment process has been back and forth. Fang Yan now needs to figure out how to cure his illness without affecting his work.

In fact, people of their status only come into contact with legitimate doctors from the Imperial Medical Academy, so it's impossible for them not to be able to prescribe the correct medicine. However, if the prescription works, it's also good to consider the external environment.

If you can't rest, how should you speak in your dialect?

The group was at a loss for what to do.

But just then, they saw Fang Yan pick up a pen and start writing on the paper:
The patient is unable to escape the high-pressure environment, so rest and recuperation are not an option. Medication is needed to quickly break the chain of liver stagnation transforming into fire, while simultaneously establishing an "immune condition" against work stress.

Treatment strategies should be centered on the liver, establishing a multi-system intervention network.

The plan is divided into several phases.

In the first stage, acupuncture combined with herbal medicine is used to quickly control symptoms.

For headaches and eye swelling, acupuncture at Taichong and Fengchi points can clear liver fire.

For acute attacks of hernia, grind 30g of fennel seeds and 15g of Evodia rutaecarpa into powder, mix with vinegar, and apply externally to the groin.

Next, a modified version of Zhengan Xifeng Decoction combined with Chaihu Shugan Powder was used to calm the liver, subdue yang, and relieve liver stagnation.

The prescription is as follows:

Raw dragon bone 30g (decocted first), raw oyster shell 30g (decocted first), hematite 20g (decocted first), Achyranthes bidentata 15g, white peony root 12g, Bupleurum chinense 9g, Cyperus rotundus 9g, Citrus aurantium 9g, cuttlebone 20g, tangerine seed 12g, Uncaria rhynchophylla 15g (added later), licorice root 6g.

In the second stage, the prescription is combined with daily herbal teas to repair the functions of the internal organs.

At this stage, the treatment shifts to regulating both the liver and spleen, using Xiaoyao San combined with Liu Jun Zi Tang with modifications.

The prescription is as follows:

Bupleurum 6g, Angelica sinensis 9g, Paeonia lactiflora 12g, Codonopsis pilosula 15g, Atractylodes macrocephala 12g, Poria cocos 15g, Salvia miltiorrhiza 15g, Panax notoginseng powder 3g (to be taken with water), calcined oyster shell 20g, Glycyrrhiza uralensis 6g.

Tea substitute prescription:
Steep 6g of rose petals, 9g of Buddha's hand citron, and 12g of cassia seeds in boiling water. Take one dose daily to soothe the liver and lower blood pressure. Suitable for drinking during work breaks.

This method was also used by Fang Yan last time for that kindergarten teacher, Zheng Yimingzhu, who had a very fiery temper.

The third stage involves using portable ear acupuncture patches to manage stressful environments and regulate emotions.

This is where the ear acupuncture results from the Acupuncture Research Institute of the Chinese Academy of Traditional Medicine come in.

This thing can be torn open and stuck to the ear. Carry ear acupoint patches with you. Press the liver, heart, and Shenmen acupoints when you feel pressure.

In addition, keeping soda crackers in the office to neutralize stomach acid and being portable is also suitable for the colleague's work situation.

Finally, it is also necessary to avoid coffee and strong tea to prevent liver yang from rising.

It is recommended to practice the "Xu" sound during daily work breaks. This is one of the six sounds and helps to soothe the liver and reduce internal heat.

The final stage, or stage four, is after all these symptoms have disappeared.

We continue to use Sijunzi Decoction as a base to prevent liver disease from spreading to the spleen.

Sijunzi Decoction is a classic formula in traditional Chinese medicine. It belongs to the category of qi-tonifying formulas and has the effects of tonifying qi, invigorating qi, and strengthening the spleen.

It can be used to treat a variety of chronic diseases, such as chronic gastroenteritis, peptic ulcers, anemia, chronic hepatitis, and chronic nephritis, especially for those with spleen and stomach qi deficiency.

Of course, if they really find it too troublesome, they can also produce Four Gentlemen Pills after a while.

After Fang Yan finished writing down the four stages, the people behind him all looked enlightened.

His four-step treatment approach grasps the core pathogenesis of liver stagnation, connecting hypertension (liver yang hyperactivity), stomach disease (liver fire invading the stomach), and hernia (cold congealing the liver meridian), which conforms to the theoretical framework of "Suwen·Zhizhen Yaoda Lun" that all dizziness and vertigo belong to the liver.

During the acute phase, mineral medications such as raw dragon bone and hematite are used to rapidly lower blood pressure.

During the recovery period, Xiaoyao San combined with Liu Jun Zi Tang was used to achieve the goal of soothing the liver without harming the body's vital energy and strengthening the spleen without causing stagnation.

During the maintenance period, use Sijunzi Decoction to prevent liver disease, as it is known that liver disease can spread to the spleen.

Furthermore, it innovatively integrates technologies, using ear acupoint patches in conjunction with the "Xu" sound technique.

After writing down the dialect, he checked it himself and then said to Comrade Lao Yu:

"Based on your current situation, I have developed a four-step treatment plan for you that will not affect your work."

"I will adopt a layered and progressive strategy, and use this method to solve the multi-system disease problems caused by liver stagnation, while respecting the nature of your work."

Comrade Lao Yu looked at the plan for dialects, then nodded and said:
"I don't quite understand the principle, but the goal is clear and the method is simple. I think it's worth a try!"

PS: I got another 100 votes, so I still owe you 19000 words after finishing this chapter.

There will be an extra chapter this afternoon.

(End of this chapter)